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Doctor insights on: Pdca Deming

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I am now allergic to pecans, how to deal?

I am now allergic to pecans, how to deal?

Avoid: Avoid all treenuts and see a board certified allergist to confirm the diagnosis, discuss avoidance measures and provide an epinephrine autoinjector if indicated. ...Read more

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Dear dr. How can I have a six packs body?

Dear dr. How can I have a six packs body?

Exercise & diet: Regular daily exercise including sit-ups and weights. Might be worth 1 or 2 sessions with a trainer. Diet should be appropriate calorie wise for your hight & build, at least 5 portions of fruit &/or vegetables a day, plenty of fiber & grains, minimize fried & fatty foods, go easy on carbs. Also minimize salt intake, which is basic advice for everyone. ...Read more

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Pain on my back right side when I take a deep breath. This just started today after I bent over to pick something up off the floor?

Pain on my back right side when I take a deep breath. This just started today after I bent over to pick something up off the floor?

Sounds like: you may have a pinched nerve in your upper spine. Try HEAT or ICE (or BOTH (alternate)whichever helps most1 and if symptoms continue see your primary care provider. Hope this helps! DR Z ...Read more

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Does picking a scab make scarring more or less likely? I've read arguments for both outcomes...I'd like to know specifically for a rather deep cut.

Does picking a scab make scarring more or less likely? I've read arguments for both outcomes...I'd like to know specifically for a rather deep cut.

I vote for...: More likely. With a typical scab, that is nature's way of helping the cut heal. There are some occasions when a doctor will remove a scab and clean out some dead cells and other goop in the wound, to let healing restart in a fresher way... but that is the occasional situation. Usually, a cut heals better if one doesn't pick at (and pull off) pieces of scab every day or two. ...Read more

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Can trans-vaginal ultrasounds pick your LMP date?

Can trans-vaginal ultrasounds pick your LMP date?

No: If you are pregnant and you don't know when was you lmp and ultrasound can help determine gestational age but it does not tell you when was you lmp. ...Read more

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Sharp right chest pain under peck that worsens depending on position or with deep breaths . It feels deep as if a surgical blade is cutting me !

Sharp right chest pain under peck that worsens depending on position or with deep breaths . It feels deep as if a surgical blade is cutting me !

See your doctor: You describe what's called pleuritic pain. It can be due to many causes. At 19, one possibility is a small spontaneous pneumothorax or lung collapse. If you're short of breath, go to the er. If not, see your doctor. You'll need a chest x-ray. ...Read more

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Earlier today I stabbed myself with a dart, I went to pick up the dart and it went completely through the middle of hand. It's pretty deep, but the ?

Earlier today I stabbed myself with a dart, I went to pick up the dart and it went completely through the middle of hand. It's pretty deep, but the ?

Get it checked: Deep penetrating injuries can affect your tendon and nerves. If it was a dirty dart, and your last tetanus booster was more than 5 years ago, you will need a tetanus booster injection. If the wound is dirty it needs a proper washout so that it does not get infected. Vit your nearest Urgent care clinic for treatment ...Read more

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For a day now, I've noticed a lump/semi-hard area on my left pect, outside, 10:45 position. It's about the size of a dime/quarter and is under skin?

For a day now, I've noticed a lump/semi-hard area on my left pect, outside, 10:45 position. It's about the size of a dime/quarter and is under skin?

Get checked : It is best to get it checked and biopsied vs excised. May have a better idea of what it may be if we knew whether it has increased in size, mobile mass, Skin discoloration, tender to touch, etc.. Best to see your doctor about this soon. ...Read more

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My due date is in may. Im 35 weeks what should I pack in hospitial bag for her?

My due date is in may. Im 35 weeks what should I pack in hospitial bag for her?

Delivery Bag: She should have the basics: comfortable pajamas and clothes, toiletries, hair brush and shampoo, nursing bra, clothes for baby, bottles and pacifier, socks, shoes and underwear, sanitary pads. ...Read more

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I bought a pack of cimetidine tablets and noticed they smell bad, like rotten eggs. Is this normal or are they off? Exp date is 8/2015.

I bought a pack of cimetidine tablets and noticed they smell bad, like rotten eggs. Is this normal or are they off? Exp date is 8/2015.

Very inexpensive.: May be a bad lot, or byproduct in manufacuring. Still should be good, but you can complain to your pharmacist and might get new product. But first ask them if they smell like that. Generic american product does not have this and is available over the counter without a prescription needed! ...Read more

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Poked w-rusty ice pick ceramics class 3 days ago-no insurance till saturday-clinics not open on weekend, is monday, 1 week to late? last shot date uk

Poked w-rusty ice pick ceramics class 3 days ago-no insurance till saturday-clinics not open on weekend, is monday, 1 week to late? last shot date uk

Health/insurance: It is your life you have a dirty puncture wound: you should be examined, treated and given a tetanus booster. I would call you local county Health Department and local UC clinics- insurance is not the issue- your life and health are at stake. ...Read more

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From canada my bf used 2 kleenez not bare hands to pick up dead baby bird and dispose.Than carried in groceries without washing hands. Contamination?

From canada my bf used 2 kleenez not bare hands to pick up dead baby bird and dispose.Than carried in groceries without washing hands. Contamination?

Germs are everywher: Germs are everywhere, I would not expect that the two of you were going to eat off of those grocery bags. With food preparation and refrigeration your bacterial burden is usually reduced significantly. I wouldn't be any more concerned about this ,that if you went outside and played in the yard and came in and ate dinner without washing your hands. The normal human body has a great immune system. ...Read more

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I've noticed on my z pack it says no antiacids 2 hours before ok can I take my omperazole after i taken my z pack what's the deal here?

I've noticed on my z pack it says no antiacids 2 hours before ok can I take my omperazole after i taken my z pack what's the deal here?

Azithromycin: Azithromycin taken at the same time as aluminum- or magnesium- based antacids, such as mylanta or maalox may result in binding of the Azithromycin and prevent it from being absorbed from the intestine. Taken on an empty stomach this may lead to gastric upset, and food will delay absorption. You can take Omeprazole after you have taken the azithro. ...Read more

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